Pulsed RF Neuromodulation and Leukocyte-Rich PRP for Refractory Low Back Pain

NCT ID: NCT06524531

Last Updated: 2024-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-10

Study Completion Date

2025-12-30

Brief Summary

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This clinical trial aims to check the safety and efficacy profile of pulsed radiofrequency (RF) neuromodulation combined with leukocyte-rich platelet-rich plasma (PRP) injections for the treatment of refractory low back pain due to multifidus dysfunction. The trial will compare two groups: one receiving standard physical therapy and the other receiving pulsed RF neuromodulation and physiotherapy.

Detailed Description

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Low back pain is a common condition, often associated with multifidus muscle dysfunction, which can result from aging, obesity, or limited movement. This dysfunction is characterized by fatty infiltration and loss of muscle function. Surgical procedures involving posterior or transpedicular screw insertion can exacerbate this issue by damaging the multifidus muscle, leading to persistent pain.

This study will investigate the effects of pulsed RF neuromodulation on the L2 and L3 segments bilaterally, with each side receiving treatment for 6 minutes. In addition, leukocyte-rich PRP will be injected into the multifidus muscle, and patients will undergo a physiotherapy regimen. The primary outcomes will be compared with those of a control group receiving only physical therapy.

Conditions

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Multi-Organ Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Experimental Group

Pulsed RF Neuromodulation: Administered to the L2 and L3 segments bilaterally for 6 minutes each.

Leukocyte-Rich PRP Injection: Injected into the multifidus muscle. Physiotherapy: Standard physiotherapy regimen.

Group Type EXPERIMENTAL

Pulsed RF Neuromodulation

Intervention Type PROCEDURE

RF neuromodulation will be applied to the L2 and L3 segments bilaterally. Each segment will receive treatment for 6 minutes, either sequentially or simultaneously on both sides.

Leukocyte-Rich PRP Injection

Intervention Type BIOLOGICAL

Leukocyte-rich PRP will be prepared from the patient's blood and injected into the multifidus muscle at the L2 and L3 levels.

Control Group

Physiotherapy: Standard physiotherapy regimen only

Group Type EXPERIMENTAL

Physiotherapy Alone

Intervention Type PROCEDURE

Standard physiotherapy regimen tailored to each participant's needs. This may include exercises to improve flexibility, strength, and endurance of the back muscles, as well as education on posture and body mechanics.

Interventions

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Pulsed RF Neuromodulation

RF neuromodulation will be applied to the L2 and L3 segments bilaterally. Each segment will receive treatment for 6 minutes, either sequentially or simultaneously on both sides.

Intervention Type PROCEDURE

Leukocyte-Rich PRP Injection

Leukocyte-rich PRP will be prepared from the patient's blood and injected into the multifidus muscle at the L2 and L3 levels.

Intervention Type BIOLOGICAL

Physiotherapy Alone

Standard physiotherapy regimen tailored to each participant's needs. This may include exercises to improve flexibility, strength, and endurance of the back muscles, as well as education on posture and body mechanics.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Refractory low back pain due to multifidus dysfunction.
* Pain persisting for more than 6 months despite conventional treatments.
* Ability to provide informed consent.

Exclusion Criteria

* Previous spinal surgery within the last year.
* Current use of systemic steroids or immunosuppressive medications.
* Known bleeding disorders or anticoagulant therapy.
* Pregnancy or lactation.
* Severe psychiatric or cognitive disorders.
* Any Congenital or Non-congenital disorders
Minimum Eligible Age

30 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Iffat Anwar Medical Complex

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Iffat Anwar Medical Complex

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Facility Contacts

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Shahzad Anwar, DOM, MBBS

Role: primary

+92 345 8477000

Shahzad Anwar, DOM, MBBS

Role: backup

Other Identifiers

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IAMC003

Identifier Type: -

Identifier Source: org_study_id

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